Individual
DR. KAMRAN NAWAZ RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD, FACS
Contact information
Practice address
24805 PINEBROOK RD STE 318, CHANTILLY, VA 20152
(703) 653-0989
(703) 653-0989
Mailing address
9209 MAROVELLI FOREST DR, LORTON, VA 22079-3456
(571) 218-0878
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416412
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13740
MD
Other
Enumeration date
02/15/2007
Last updated
11/12/2019
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